As
per National Cancer Registry Programme (NCRP) of Indian Council of Medical
Research (ICMR), the estimated number of mortality of cancer cases
reported in the country during the last three years is given below:
Year
|
2017
|
2018
|
2019
|
Estimated Mortality of cancer
cases
|
7,66,348
|
8,01,374
|
8,38,065
|
Public
Health and Hospitals is a State subject. The Central Government however
supplements the efforts of the State Governments. The objectives of National
Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular
Diseases and Stroke (NPCDCS), being implemented by Central Government under
the National Health Mission (NHM) for interventions upto the district
level, includes awareness generation for cancer prevention, screening, early
detection and referral to an appropriate level institution for treatment. For
cancer, the focus is on three common cancers, namely breast, cervical and
oral. A population level initiative for prevention, control and screening
for common Non-Communicable Diseases (NCDs) i.e. diabetes, hypertension and
common cancers viz. oral, breast and cervical cancer, has been rolled out in
over 215 districts of the country, as a part of comprehensive primary
healthcare. Screening of common NCDs including three common cancers i.e. oral,
breast and cervical is also an integral part of service delivery under Ayushman
Bharat - Health and Wellness Centres. Population based screening helps in mass
awareness generation about risk factors and early detection of NCDs including
common cancers.
To
tackle the challenge of NCDs, including cancers, 616 NCD Clinics at District
level and 3,827 NCD Clinics at Community Health Centre level have been set up
under NPCDCS. Under NHM, support is provided to States/UTs to provide
free essential medicines and diagnostic services for primary and secondary
health care needs.
To
enhance the facilities for tertiary care of cancer, the Central Government is
implementing Strengthening of Tertiary Care for Cancer Scheme, under which
setting up of 19 State Cancer Institutes and 20 Tertiary Care Cancer Centres have
been approved. Further, Oncology is also one of the focus areas in case of new
AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha
Yojana (PMSSY). Setting up of National Cancer Institute at Jhajjar in Haryana
and strengthening of Chittaranjan National Cancer Institute, Kolkata, are also
steps in the same direction.
Cancer
is diagnosed and treated at various levels in the health care system. In
Government hospitals, treatment is either free or highly subsidized. Treatment
of cancers is also available under Ayushman Bharat – Pradhan Mantri Jan Arogya
Yojana (PMJAY). Besides this, Affordable Medicines and Reliable Implants for
Treatment (AMRIT) Deendayal outlets have been opened at 203
Institutions/Hospitals with an objective to make available drugs and implants
at discounted prices to the patients. Under the umbrella scheme of Rashtriya
Arogya Nidhi, financial assistance is provided to families living below
threshold poverty line for their treatment, including treatment of cancer, in
Government hospitals.
For
undertaking IEC activities on NCDs including cancers, support is provided to
States/UTs @ 50-70 lakh at the State level and @ Rs. 3 to 5 lakh per District.
Awareness campaigns on common risk factors for NCDs, including cancer, and for
promotion of healthy lifestyle are also carried out through print, electronic
and social media. Camps for awareness generation and screening for common NCDs
including common cancers are organized at Pragati Maidan, New Delhi, during the
India International Trade Fair each year. Special campaigns are organized on
the occasion of National Cancer Awareness Day and World Cancer Day. Indian
Council of Medical Research (ICMR)-National Institute of Cancer Prevention and
Research (NICPR), Noida, has launched www.cancerindia.org with
the theme “India Against Cancer”, a portal that provides information on the
leading cancers in India with a major focus on awareness, prevention and
treatment of these cancers.
Courtesy: pib.gov.in
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